scholarly journals Bladder hematoma as an unusual cause or consequence of obstructed labour

2021 ◽  
Vol 10 (6) ◽  
pp. 2531
Author(s):  
Shikha Para ◽  
Shaveta Jain ◽  
Daya Sirohiwal ◽  
Smiti Nanda
Keyword(s):  
Caesarean Section ◽  
Urinary Bladder ◽  
Rare Complication ◽  
Common Reason ◽  
Pelvic Malignancy ◽  
Obstructed Labour ◽  
First Case ◽  
Large Hematoma

Bladder hematoma is a rare complication but also an unusual mechanical cause of obstructed labour, whose incidence in India is 1-2%. The most common reason for intraluminal urinary bladder hematoma is trauma, but it can occur with cystitis, pelvic malignancy and irradiation. A large hematoma may mimic a neoplastic mass on imaging. We reported a first case of bladder hematoma as a cause or result of obstructed labour in a multipara where the diagnosis was made intraoperatively. This bladder complication also became the indication for classical caesarean section, the technique which is almost obsolete nowadays, where the indication for classical caesarean section was obligatory.

scholarly journals Bladder Injury during Caesarean Section, Surgical and Anaesthetic Management: A Case Report and Review of the Literature

2021 ◽  
Vol 6 (3) ◽  
pp. 167-169
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Urinary Bladder ◽  
Rare Complication ◽  
Previous History ◽  
Anaesthetic Management ◽  
Bladder Injury ◽  
Review Of The Literature ◽  
Emergency Caesarean ◽  
History Of

Urinary bladder injury is a rare complication during caesarean section but its incidence is increasing due to growing trend in caesarean deliveries. In this case report, we reported a 32 year old pregnant female with previous history of caesarean section who presented during labour. Emergency caesarean was done and the case was complicated with bladder injury intraoperatively. The injury was immediately identified and was repaired in two layers. This case highlights the anaesthetic and surgical management of inadvertent bladder injury during caesarean section. Keywords: Bladder injury, caesarean section, Emergency caesarean.

scholarly journals Infection of Mycobacterium mageritense at surgical site: A first case report of India

2019 ◽  
Vol 9 (1-s) ◽  
pp. 369-373 ◽  
Author(s):  
MANDAVA V RAO
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Soft Tissue ◽  
Caesarean Section ◽  
Urinary Bladder ◽  
Anterior Wall ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
First Case ◽  
Peritoneal Space

A 27 years old non diabetic, normotensive, female had undergone lower segment caesarean section (LSCS) with tubular ligation. She complained discharge at left side of stitch line after about 5 weeks of operation, and was treated with broad spectrum antibiotics. As she did not improve, first and second debridement was done in January and February 2017 and pyogenic cultures sent were sterile. Later she was advised  for Multiple detector computed tomography (MDCT) in March 2017, which revealed accumulations in pre-peritoneal space of urinary bladder posteriorly and reached to anterior wall of uterus. This pus was from multiple sinuses and were sent for mycobacterial cultures which showed growth of MOTT- M.mageritense further identified by MALDI-TOF and supported by molecular technologies. After identification of this Non-tuberculosis mycobacteria (NTM). She was treated for the same and recovered completely after seven months of anti-NTM treatment. This is the first reported case of M. mageritense in skin and soft tissue in India. Literature also reports a few cases around the globe.  

scholarly journals Endometritis and Cystic Endometrial Hyperplasia in a Goat

2005 ◽  
Vol 17 (4) ◽  
pp. 393-395 ◽  
Author(s):  
Zaher A. Radi
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Endometrial Hyperplasia ◽  
Plasma Cells ◽  
Histopathologic Examination ◽  
Boer Goat ◽  
First Case ◽  
Cellular Debris ◽  
Superficial Epithelium ◽  
Cystic Masses

Histologic examination was performed on uterine biopsy samples of irregular cystic masses noted during caesarean section of a 2-year-old female Boer goat. Histopathologic examination revealed multifocal erosions of the superficial epithelium and multifocal infiltration of the endometrium by widely scattered viable and degenerate neutrophils, lymphocytes, and plasma cells admixed with mild amounts of cellular debris and hemorrhage. The endometrium was markedly expanded by many irregular cystic and hyperplastic glands. This is the first case report of endometritis and cystic endometrial hyperplasia in a goat in North America.

Chikungunya–dengue co-infection during pregnancy requiring preterm Caesarean section: first case report from Bangladesh

2017 ◽  
Vol 48 (3) ◽  
pp. 234-235 ◽  
Author(s):  
Muhammad Abdur Rahim ◽  
Shahana Zaman ◽  
Nasreen Sultana ◽  
Ariful Islam ◽  
Khwaja Nazim Uddin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
First Case

We report the first case of chikungunya-dengue co-infection during pregnancy requiring emergency Caesarean section (CS) because of fetal distress in a Bangladeshi primigravida. Though previously unreported, this situation may become increasingly common.

scholarly journals Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Guido Zarattini ◽  
Adam Farrier ◽  
Federico Sibona
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cement Leakage ◽  
Clonic Seizure ◽  
Tonic Clonic Seizure ◽  
Leg Pain ◽  
Compression Fractures ◽  
First Case ◽  
Seizure Syndrome ◽  
Osteoporotic Compression Fractures

Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty.Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures.Study Design. Case report.Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis.Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management.Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.

Iatrogenic Intraprosthetic Dislocation of Dual Mobility Cup. Case Study

2021 ◽  
Vol 23 (1) ◽  
pp. 51-57
Author(s):  
Kamil Kurczyński ◽  
Artur Pepłoński ◽  
Piotr Cieślik ◽  
Marta Burbul(
Keyword(s):  
Closed Reduction ◽  
Rare Complication ◽  
Medical Institute ◽  
Dual Mobility Cup ◽  
Acetabular Cup ◽  
Dual Mobility ◽  
First Case ◽  
The Military ◽  
Intraprosthetic Dislocation

Intra-prosthetic dislocation of the dual-mobile acetabular cup is a rare complication. Most often, it is the result of wear of the polyethylene liner. It can also occur during a closed reduction of a dislocated dual-mobile cup. It is extremely important to recognize this complication immediately in order to avoid the consequences. This paper presents the first case of iatrogenic intraprosthetic dislocation at the Traumatology and Orthopaedics Department of the Military Medical Institute, our management of the case and suggestions for treating patients with a dislocation of the dual-mobile acetabular cup.

scholarly journals Inadvertent Trypan Blue Staining of Posterior Capsule during Cataract Surgery Associated with “Argentinian Flag” Event

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Robert A. Prinzi ◽  
Neeti M. Alapati ◽  
Shawn S. Gappy ◽  
Jason S. Dilly
Keyword(s):  
Cataract Surgery ◽  
Trypan Blue ◽  
Rare Complication ◽  
Posterior Capsule ◽  
Blue Staining ◽  
Anterior Surface ◽  
Anterior Capsule ◽  
Trypan Blue Staining ◽  
First Case

Trypan blue is common in visualizing the anterior capsule during cataract surgery. Inadvertent staining of the posterior capsule during phacoemulsification is a rare complication and there are few reports in the literature. The proposed mechanism of posterior capsule staining in previous reports includes a compromised zonular apparatus or iris retractors facilitating the posterior flow of trypan blue. We report the first case of trypan blue staining of the posterior capsule associated with the “Argentinian flag” sign. In our case, the “Argentinian flag” allowed the trypan blue to seep between the posterior capsule and the lens, staining the anterior surface of the posterior capsule.

scholarly journals Massive Spontaneous Hemothorax as a Complication of Apixaban Treatment

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
M. Abu Hishmeh ◽  
P. Srivastava ◽  
Q. Lougheide ◽  
M. Srinivasan ◽  
S. Murthy
Keyword(s):  
Pleural Effusion ◽  
Health Care Providers ◽  
Rare Complication ◽  
Pigtail Catheter ◽  
Care Providers ◽  
Nonvalvular Atrial Fibrillation ◽  
Vein Thrombosis ◽  
Spontaneous Hemothorax ◽  
First Case ◽  
Iatrogenic Trauma

Introduction. Hemothorax is usually related to chest or iatrogenic trauma from procedures such as central lines and thoracentesis. Spontaneous hemothorax is defined as pleural fluid hematocrit greater than 50% of serum hematocrit in absence of natural or iatrogenic trauma affecting the lung or pleural space. Coagulopathy secondary to anticoagulant use has been associated with spontaneous hemothorax. We present a case of spontaneous hemothorax in a patient taking apixaban for venous thromboembolism disease. To our knowledge, this is the first case report of apixaban as a cause of spontaneous hemothorax. Case Presentation. A 56-year-old woman with end-stage renal disease (ESRD) was diagnosed with upper extremity deep vein thrombosis (DVT) one month prior to presentation and was started on apixaban presented with dyspnea and left-sided pleuritic chest pain for two weeks. She was found to have left-sided large pleural effusion which was diagnosed as hemothorax. Other etiologies for spontaneous hemothorax were excluded and drainage by 12-French pigtail catheter achieved total resolution of hemothorax in three days. Discussion. Apixaban is a DOAC used to prevent stroke or thromboembolic events in patients with nonvalvular atrial fibrillation and to prevent recurrent venous thromboembolic disease. Events such as gastrointestinal, intracranial, and soft tissue bleeding have been well-documented. However, bleeding manifestation as hemothorax is seldom reported. Our patient presented with isolated left-sided large pleural effusion which was diagnosed as spontaneous hemothorax. 12-Fr pigtail catheter drainage was effective in the management of our patient and provided total resolution in three days. Conclusion. Spontaneous hemothorax is a rare complication of anticoagulant therapy and might not exhibit the usual radiological signs of traumatic hemothorax. Health care providers should have high index of suspicion for spontaneous hemothorax when evaluating new pleural effusion in patients receiving DOACs therapy. Drainage by small bore pigtail catheter might be as effective as larger chest tubes.

scholarly journals Escherichia Coli Subscapular Abscess as a Rare Complication of Manual Therapy in Frozen Shoulder: A Case Report

2021 ◽  
Author(s):  
Dong Hun Ham ◽  
Sungil Wang
Keyword(s):  
Escherichia Coli ◽  
Manual Therapy ◽  
Rare Complication ◽  
Fluid Collection ◽  
Frozen Shoulder ◽  
Etiologic Agent ◽  
Left Shoulder ◽  
Recent Infection ◽  
Limited Range Of Motion ◽  
First Case

Abstract Background: Subscapular abscess is a rare condition usually secondary to immunocompromised state and recent infection. Staphylococcus aureus (S. aureus) is the most common etiologic agent. To the best of our knowledge, we present the first case of a patient with a frozen shoulder performing manual therapy, which resulted in an Escherichia coli subscapular abscess.Case presentation: A 72-year-old male was referred from the respiratory department with pain and a limited range of motion in the left shoulder. He complained that the pain was exacerbated with popping sound during manual therapy for frozen shoulder two weeks ago. Magnetic resonance imaging revealed a large intramuscular complicated fluid collection at the level of the subscapularis muscle 10.0 × 5.2 × 11 cm in size, and a bloody but turbid pus-like discharge was observed upon aspiration. He underwent urgent surgical drainage. The cultures from the abscess fluid revealed extended-spectrum beta-lactamases (-) E. coli. After 4 weeks of Ceftazidime intravenous treatment, symptoms of the patient had improved. Conclusions: This case highlights the risks of aggressive manual therapy in severe frozen shoulder. It also presents a clinical scenario in which practitioners of manual therapy in frozen shoulder should be aware of the risk of subscapular abscess in patients undergoing recent infection therapy

Diagnostic difficulties in a patient with multiple sclerosis who presents with cranial nerve palsies: an unusual complication of dental work

2020 ◽  
Vol 13 (10) ◽  
pp. e232903
Author(s):  
Jennifer Cathcart ◽  
Rebecca Caitlin Johnson ◽  
Nicholas Hughes ◽  
Manish Patel
Keyword(s):  
Multiple Sclerosis ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Unusual Complication ◽  
Cavernous Sinus Thrombosis ◽  
Dental Abscess ◽  
First Case ◽  
Cranial Nerve Palsies ◽  
Diagnostic Difficulties

A woman in her 60s with multiple sclerosis (MS) presented with right-sided ptosis, right sixth nerve palsy, right facial paraesthesia and signs of sepsis. She had a recent diagnosis of a dental abscess. Investigations revealed a right submasseter abscess leading to bacterial meningitis (Streptococcus intermedius) and a cavernous sinus thrombosis. She was managed in intensive care and underwent surgical drainage of the abscess. Anticoagulation for 6 months was planned. Cavernous sinus thrombosis is a very rare complication of a dental abscess, and even less frequently associated with submasseter abscesses. The case was complicated by a history of MS, to which the patient’s symptoms and signs were initially attributed to. This case highlights the diagnostic pitfalls, and aims to enhance learning around similar cases. To the best of our knowledge, this is the first case report of a masseter/submasseter abscess leading to cavernous sinus thrombosis.

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